| NPI | 1356388912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301010162) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010162) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-01-28 |